ARE YOU HITTING A ROAD BLOCK WITH LOSING WEIGHT?

There are currently three options available for weight loss.  Two of these involve medications.  The other is a simple caloric deficiency.  Even if medications are used, weight loss occurs because they help you create that deficit. 

For those who exercise, you can add to the daily calorie need by determining how many calories exercise burns.  For example, a 100-pound person who walks a mile a day burns 100 calories, whereas a 250-pound person will burn 250 calories walking a mile.    

 A 500-calorie/day deficit will result in a one-pound/week loss, and a 1000-calorie/day deficit will result in a 2-pound/week loss. 3500 calories = 1lb.  Also, as you lose weight, you burn fewer calories and have a slower rate of loss.

Food choices are important. Eating foods with a high “glycemic index” (Simple Carbs) like potatoes, breads, sweets, and even bananas results in prompt satisfaction. These foods are rapidly absorbed. A better choice would be complex carbohydrates (beans, whole grains, and vegetables), which keep you full longer. Even fast foods like hamburgers are a good choice if not consumed with fries or a sugary drink. Some people may ask for a lettuce wrap as an alternative to a bun. 

Weight Loss – GLp-1 injections

These weekly injectable medications were initially created to treat diabetes but were found to cause weight loss. They both create a feeling of fullness and decreased hunger between meals. 

These medications should not be used by patients who have two different types of thyroid cancer, MEN Type 2, or medullary thyroid cancer. Patients with hypothyroidism (low thyroid) may use these medications. GLP-1 injections, when purchased through the original manufacturers, are expensive (approximately $1300/month), and insurance coverage is rare unless the patient has diabetes that is not controlled with other, less expensive medications.

There are pharmacies called “compounding pharmacies” that also make GLP-1 injections at a reduced price.  It is injected weekly just under the skin of your abdomen, similar to insulin. If you are uncomfortable with this, bring your medication to our office so we may assist you.

Ultimately, the patient’s weight will plateau, and a decision will need to be made to stop the medication or stay on a lower dose for maintenance. Others may decide to create a calorie-restricted diet to maintain their new weight.

Benefits of GLP-1 injections

GLP-1 Injections offer several potential benefits for individuals seeking weight management. Some of these benefits include:
 
1. Significant Weight Loss: These medications have shown the potential to induce substantial weight loss in motivated patients. Individuals may experience up to 30% weight loss over 6 to 9 months using 
 
2. Appetite Suppression: These medications help regulate appetite by creating a feeling of fullness and reducing hunger between meals. This appetite-suppressing effect contributes to the overall weight loss observed in patients using the medication.
 
3. Weekly Administration:  GLP-1 injections are administered through a weekly injection under the skin of the abdomen or thigh.
 
4. Potential Health Improvements: Weight loss achieved with GLP-1 injections may lead to improvements in various health parameters, such as reduced risk of obesity-related complications like cardiovascular disease, type 2 diabetes, and certain cancers.
 
5. Individualized Treatment: The availability of GLP-1 injections at reduced prices through compounding pharmacies allows for a reduced cost compared to the trade-name product.
 
6. Alternative to Surgery: For individuals who may not be suitable candidates for weight loss surgery or prefer a non-surgical approach, GLP-1 injections provide a pharmacological option for significant weight reduction.
 
 

Risk of Tirzepatide and Semaglutide

While GLP-1 injections can be effective in promoting weight loss, like any medication, they come with potential risks and side effects. It’s crucial for individuals considering this medication to be aware of these risks and discuss them thoroughly with their healthcare provider. Some potential risks associated with GLP-1 injections include:
 
1. Gastrointestinal Issues: GLP-1 injections may cause gastrointestinal side effects, such as nausea, vomiting, constipation, diarrhea, and abdominal pain. These symptoms can be bothersome and may impact a patient’s quality of life.
 
2. Pancreatitis: There have been reports of pancreatitis (inflammation of the pancreas) associated with GLP-1 injections. Symptoms of pancreatitis include severe abdominal pain, nausea, and vomiting. Patients experiencing these symptoms should seek medical attention promptly.
 
3. Fetal Risk: GLP-1 injections may pose risks to a developing fetus. Therefore, it is not recommended for use during pregnancy. Women of childbearing age should use effective contraception while taking this medication.
 
4. Gallbladder Disease: GLP-1 injections may slightly increase the risk of gallbladder disease, resulting in abdominal pain. Individuals on this medication who develop upper abdominal pain should report this to a healthcare provider.
 

WEIGHT LOSS PROGRAM & PRICING

MP Weight Loss Clinic Visits

First Visit: $225 - Weight Loss Consultation
Follow-up Appointments:

  • $75 - Based on your current dose. Example: If you have 6 injections, you will have a follow-up appointment on the fifth (5th) week.
  • Once your goal is reached, you will titrate back down to the lowest dose.

Note: This does not include medication pricing, which is subject to change by the pharmacy. We do not accept insurance, Medicaid, Medicare, or Care Credit.

GLP-1 injection

Weekly injections. Shipping: Free

  • 0.5 ml: $70.00 (0.25 mg) -10 units 5 weeks
  • 2.0 ml: $125.00 (0.625 mg) - 25 units 8 weeks
  • 3.0 ml: $155.00 (1mg) - 40 units 7 weeks
  • 4.0 ml: $180.00 (1.5 mg) - 60 units 6 weeks
  • 4.0 ml: $180.00 (2.0 mg) - 80 units 5 weeks
  • 4.0 ml: $180.00 (2.4 mg) - 96 units  4 weeks.

GLP-1 & GIP injection

Weekly injections. Shipping: Free

  • 0.5 ml: $135.00 (2.5 mg) - 8 units 6 weeks
  • 1.0 ml: $225.00 (4.2 mg) - 14 units 7 weeks
  • 1.5 ml: $325.00 (7.5 mg) - 25 units 6 weeks
  • 1.5 ml: $360.00 (10 mg) - 33 units 6 weeks
  • 2.0 ml: $360.00 (12.5 mg) 42 units 4 weeks
  • 2.0 ml: $360.00 (15 mg) 50 units 4 weeks

Phentermine (Adipex)

  • 30-day supply: Available for 3 months increments.
  • Pricing depends on the pharmacy you choose. Check GoodRx rates.

Contrave

  • 30-day supply: Available for 2 months increments.
  • $99 for 60 day supply
* No one says the most expensive part of this journey is the cost of a new wardrobe! 🙂

Appointments

In person:

  • Mondays: 8:30 AM - 3:30 PM
  • Tuesdays: 8:30 AM - 3:30 PM
  • Wednesdays: 8:00 AM - 2:30 PM

Telehealth: 

  • Mondays: 8:30 AM - 3:30 PM
  • Tuesdays: 8:00 AM - 3:30 PM
  • Wednesdays: 8:00 AM - 2:30 PM
  • Thursdays: 8:00 AM - 1:30 PM
  • Fridays: 8:00 AM - Noon
    • Nov 14 & 21, 2025
    • Dec 5 & 19, 2025
    • Jan 9 & 23, 2026
    • Feb 13 & 27, 2026
    • March 6 & 27, 2026
    • April 10 & 24, 2026

We would like to see all new patients in the clinic first. We can do a new patient telehealth. 

Please note: Phentermine and Contrave can only be obtained in an office appointment. We can not offer telehealth for Phentermine or Contrave. 

Qualification Criteria

To qualify for GLP-1 injections you may need:

  • Body Mass Index (BMI):
    • BMI of 28 or higher
  • Age: 15 years of age or older

Avoid Semaglutide or Tirzepatide if you have a history of:

  • Medullary thyroid cancer
  • Gallbladder disease
  • Pancreatitis
  • Multiple Endocrine Neoplasia Syndrome Type 2 (MEN2)
  • Currently Breastfeeding

Consult your primary care physician (PCP) to determine if these medications are appropriate for you based on your medical history.


The medication duration ranges from 4 to 8 weeks, depending on the dosage.


Financials

  • Contact: Call 903-708-2533 and ask for Clayton for current rates.
  • Payment: Self-pay only.
    • Accepted methods: Credit cards, HSA/FSA, cash, and check.
    • We do not accept insurance, Medicaid, Medicare, or Care Credit.

Follow-up appointments are mandatory. They cannot be canceled, only rescheduled. The only exception for cancellation is if you are discontinuing the program.

Counting Calories

Even with all the diet plans out there, weight management still comes down to the calories you take in versus those you burn off during activity.

Popular fad diets may promise you that not eating carbohydrates (carbs) or eating a pile of grapefruit is the secret to weight loss. However, it really comes down to eating fewer calories than your body is using if you want to lose weight.

Calories: Fuel for your body

Calories are the energy in food. Your body has a constant energy demand and uses the calories from food to keep working. Energy from calories fuels your every action, from fidgeting to marathon running.

Carbohydrates, fats and proteins are the types of nutrients that have calories and are the main energy sources for your body. No matter where they come from, the calories you eat are either converted to physical energy or stored within your body as fat.

These stored calories will stay in your body as fat unless you use them up. You can do this by cutting how many of calories you take in so that your body must draw on reserves for energy or you can add more physical activity so that you burn more calories.

Tipping the scale

Your weight is a balancing act, but the equation is simple. If you eat more calories than you burn, you gain weight. And if you eat fewer calories and burn more calories through physical activity, you lose weight.

In the past, research found that about 3,500 calories of energy equaled about 1 pound (0.45 kilogram) of fat. So researchers thought burning or cutting 500 calories a day led to losing 1 pound a week. But this isn’t true for everyone.

In general, if you cut about 500 calories a day from your usual diet, you may lose about ½ to 1 pound a week. But this can vary depending on your body, how much weight you want to lose, your gender, and activity level.

It sounds simple. But it’s more difficult because when you lose weight, you usually lose a mix of fat, lean tissue, and water. Also, because of changes that occur in the body as a result of weight loss, you may need to decrease calories more to keep losing weight.

Cutting calories

Cutting calories needs to include change, but it doesn’t have to be hard. These changes can have a big impact on the number of calories you take in:

  • Skipping high-calorie, low-nutrition items
  • Swapping high-calorie foods for lower-calorie choices
  • Cutting portion sizes

Saving calories by cutting high-calorie, low-nutrition items

Skipping one or two high-calorie items is a good place to start when cutting calories. For example, you could skip your morning latte, soda at lunch or that evening bowl of ice cream.

Think about what you eat and drink each day and find items you could cut out. If you think that skipping your treat will leave you with a craving, swap it with a low-calorie choice.

Helpful steps to a sucessful weight loss journey

  1. Hydration: Drink plenty of water throughout the day to stay hydrated. Aim for at least 8-10 cups of water daily, and avoid sugary beverages and excessive caffeine intake.
  2. Balanced Macronutrients: Aim for a well-balanced diet that includes a mix of carbohydrates, protein, and healthy fats at each meal. This can help stabilize blood sugar levels and promote satiety.
  3. Complex Carbohydrates: Choose carbohydrates with a low glycemic index (GI) to prevent spikes in blood sugar levels. Opt for whole grains such as oats, quinoa, brown rice, and barley, as well as non-starchy vegetables like leafy greens, broccoli, cauliflower, and peppers.
  4. Lean Protein Sources: Incorporate lean protein sources into your meals to support muscle health and promote satiety. Examples include skinless poultry, fish, tofu, tempeh, legumes (beans, lentils), low-fat dairy products, and eggs.
  5. Healthy Fats: Include sources of healthy fats in your diet, such as avocados, nuts, seeds, olive oil, and fatty fish like salmon and mackerel. These fats can help improve insulin sensitivity and support heart health.
  6. Portion Control: Pay attention to portion sizes to avoid overeating. Use measuring cups, spoons, or food scales to ensure proper portion sizes, especially if you’re trying to manage your weight.
  7. Frequent Meals and Snacks: Instead of three large meals, consider eating smaller, more frequent meals and protein snacks throughout the day. This can help regulate blood sugar levels and prevent overeating.
  8. Limit Processed Foods and Added Sugars: Minimize your intake of processed foods, sugary snacks, desserts, and beverages, as these can contribute to weight gain and negatively impact blood sugar control.
  9. Regular Exercise: Incorporate regular physical activity into your routine, as exercise can complement the effects of semaglutide by improving insulin sensitivity and aiding in weight loss.
  10. Healthy Eating Plan: Focus on a balanced, nutritious diet rich in whole foods. This typically includes:
    • Vegetables: Aim to fill half your plate with non-starchy vegetables like leafy greens, broccoli, peppers, carrots, etc.
    • Protein: Incorporate lean protein sources such as chicken breast, fish, tofu, legumes, and eggs.
    • Whole Grains: Opt for whole grains like brown rice, quinoa, oats, and whole-grain bread instead of refined grains.
    • Healthy Fats: Include sources of healthy fats such as avocados, nuts, seeds, and olive oil in moderation.
    • Fruits: Enjoy fruits in moderation, focusing on lower-sugar options like berries, apples, and citrus fruits.

It’s essential to customize your diet plan based on your individual health status, dietary preferences, and lifestyle factors. Consult with your healthcare provider or a registered dietitian to create a personalized diet plan that meets your specific needs and health goals while using semaglutide.

Simple Diet Plan

Here’s a sample diet plan for weight management. Remember, it’s important to consult with your healthcare provider or a registered dietitian before starting any new diet plan, especially when using medication like semaglutide or tirzepatide.

Breakfast:

Option 1: Spinach and mushroom omelet made with 2 eggs (or egg whites), sautéed spinach, mushrooms, and a sprinkle of cheese. Serve with a side of sliced tomatoes.
Option 2: Greek yogurt parfait with low-fat Greek yogurt, mixed berries, and a sprinkle of granola or chopped nuts.
Option 3: Whole grain toast topped with mashed avocado and sliced boiled eggs, seasoned with salt, pepper, and a squeeze of lemon juice.

Mid-Morning Snack:
Option 1: Apple slices with almond butter.
Option 2: Carrot and cucumber sticks with hummus.
Option 3: A small handful of mixed nuts (such as almonds, walnuts, and pistachios).

Lunch:

Option 1: Grilled chicken salad with mixed greens, cherry tomatoes, cucumbers, bell peppers, and a balsamic vinaigrette dressing.
Option 2: Quinoa and black bean salad with diced avocado, corn, bell peppers, and a squeeze of lime juice.
Option 3: Whole grain wrap filled with tuna salad (made with canned tuna, Greek yogurt, diced celery, and spices) and mixed greens.

Afternoon Snack:
Option 1: Sliced bell peppers and cherry tomatoes with guacamole.
Option 2: Cottage cheese with pineapple chunks.
Option 3: Air-popped popcorn sprinkled with nutritional yeast.

Dinner:

Option 1: Baked salmon with roasted asparagus and quinoa.
Option 2: Stir-fried tofu with mixed vegetables (such as broccoli, bell peppers, snap peas, and carrots) served over brown rice.
Option 3: Turkey chili made with lean ground turkey, kidney beans, diced tomatoes, onions, and spices, served with a side salad.

Evening Snack (optional):

Option 1: A small bowl of mixed berries.
Option 2: Sliced cucumber with hummus.
Option 3: A piece of dark chocolate (70% cocoa or higher).

Fluid Intake:

Aim to drink at least 8 cups (64 ounces) of water throughout the day.
You can also include herbal teas, sparkling water, and other non-caloric beverages.
Notes:

Pay attention to portion sizes and avoid overeating, even of healthy foods.
Try to eat mindfully, paying attention to hunger and fullness cues.
Regular physical activity is important for overall health and weight management. Aim for at least 30 minutes of moderate-intensity exercise most days of the week, as tolerated.

Adjust portion sizes and food choices based on your individual calorie needs, dietary preferences, and any specific dietary restrictions or recommendations provided by your healthcare provider.

Partnership


Partnership

What happens to your face when you lose weight?

While a GLP-1 may help you lose weight, the loss of
collagen and elastin causes these unwanted facial
changes—like hollowness, sagging skin, and wrinkles.1,3
The result? An older appearance that was never part
of your plan.


Contact Prodigy Salon and Spa for more information. 
903-717-8661 | prodigysalonandspa@gmail.com